Blood coagulation is a complex process of proteolysis involving a series of coagulation factors. Anticoagulants are drugs that prevent the blood clotting process by affecting clotting factors. Next xiaobian will introduce you to the common anticoagulant - heparin.
Pharmacological effects: Heparin in heparin in vivo and in vitro have a strong anticoagulant effect.
In vivo process: Heparin is a large molecule with a large amount of negative charge, it is not easy to pass through the biofilm, oral absorption is not, often intravenous administration.
Mechanism of action: anticoagulation can be achieved by enhancing the activity of antithrombin ⅲ in plasma and accelerating the inactivation of coagulation factors.
Adverse reactions: bleeding (main adverse reactions), thrombocytopenia, osteoporosis, fracture.
Clinical application:
1. Thromboembolic diseases; 2, diffuse intravascular coagulation; 3. Prevention and treatment of myocardial infarction, cerebral infarction, cardiovascular surgery and thrombosis after peripheral venous surgery; 4, in vitro anticoagulation: such as cardiac catheterization, extracorporeal circulation and hemodialysis, etc.